Permit . CITY OF TIGARD ELECTRICAL PERMIT
COMMUNITY
PERMIT #: ELC2008 00495
OMMUNITY DEVELOPMENT
DATE ISSUED: 8/28/2008
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S113AD-01900
SFTE ADDRESS: 16600 SW 72ND AVE B10 ZONING: I -L
SUBDIVISION: OREGON BUSINESS PARK I LOT : 009 JURISDICTION: TIG
PROJECT: ROCKWELL COLLINS
Project Description: Add (2) outlets. Job No. 71560
RESIDENTIAL UNIT TEMP SRVC /FEEDERS MISCELLANEOUS
1000 SF OR LESS: 0 - 200 amp: PUMP /IRRIGATION:
EACH ADD'L 500SF: 201 - 400 amp: SIGN /OUT LINE LTG:
LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL:
MANF HM/ SVC/ FDR: 601 +amps - 1000 volts: MINOR LABEL (10):
SERVICE /FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS
0 - 200 amp: W /SERVICE OR FEEDER: PER INSPECTION:
201 - 400 amp: 1st W/O SRVC OR FDR: 1 PER HOUR:
401 - 600 amp: EA ADD'L BRNCH CIRC: 1 IN PLANT:
601 - 1000 amp: PLAN REVIEW SECTION
1000+ amp /volt: > =4 RES UNITS: > 600 VOLT NOMINAL:
Reconnect only: SVC /FDR >= 225 AMPS: CLASS AREA/SPEC OCC:
Owner: Contractor:
PACIFIC REALTY ASSOCIATES OREGON ELECTRIC GROUP
15350 SW SEQUOIA PKWY #300 -WMI 1010 SE 11TH AVE
PORTLAND, OR 97224 PORTLAND, OR 97211
Phone: Contact #: FAX 503 - 234 -1001 •
PRI 503 - 234 -9900
FEES
Description Date Amount Reg #: ELE 26 -95C
[ELPRMT] ELC Permit 8/28/2008 $53.50 LIP 203
[TAX] 12% State 8/28/2008 $6.42 SUP 4818S
Total $59.92 REQUIRED ITEMS AND REPORTS
This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws.
All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is
suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center.
Those r are set orttrin,O • : 952 -001 -0010 through OAR 952 -001 -0100. You may obtain copie these rules or direct questions to OUNC at
503. .6699 or 1.800.33 •
Issu d By: , J �;!, Permittee Signature:
OWNER INSTALLATION ONLY
The installation is being made on property I own which is not intended for sale, lease, or rent.
OWNER'S SIGNATURE: DATE:
TRACTOR INSTALLATION ONLY
1 ♦ '
SIGNATURE OF SUPR. ELEC'N: ' �, %l �� DATE:
/ �
LICENSE NO:
Call 503.639.4175 by 7:00 a.m. for an inspection that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
0
. AUG -28 -08 10:37 FROM- OREGON ELECTRIC -MAIN 5032349900 T -587 P.001/002 F -900
i
' dec:ricai refit'''. "plJIA aLL J11
City of Tigard EIVE® Received g Q 8 ., 7,9 Pcrmi(No.: &Ie : ^a 73 Datc/Bv:
;J u 13125 SW Hall Blvd., Tigard. Elft- Pian Review
° • Phone: 503.639.4171 Fax: 503.598.1960 Q 7 Date/By: - Pillar Permit
Inspection Line: 503.639.4175 AU G o t '� "') Date Ready/By: Iris: ® Sete Page 2 for
TIGfIRD Internee www.tigard•or.gov Notified/Melhod: Supplemental Information
l • ■ _
/�' jl�'�'r ]It . .•., .. - .. :1f � r 9r t - ter{ l 4 - .:a -is: ��* �. - y ✓"v o F. ;';,7', 4 ,2 , ' N) (T :f',,! r ct
, +? ??W.°15 L t� .� tin : 4 liti E *1 5 S' : • . , tugt . z : ,., r :J, P , . 11 : . RE I , ,, . y ar _kfy,.)?)„ „ ,'.,
A dditio�e, 1 l "' •` ,1'' P check all that apply (submit 2 Sets of plans wtitems checked below):
▪ New construction ® [J� • " ' ❑ Service or feeder 400 amps or more ❑ Building over three stories.
[] Demolition ❑ Other: where Mc available fault current ❑ Marinas and boatyards.
nt` ..ry ;` :� ' ' 4 ^� . 4� AT G O uap'' . CO1rvS'T. W.CI'TONi x t V ;P .. ";" ps, . c :S, exceeds 10.000 amps at 150 volts or ❑ Flo:+dng buildings.
3Th , t ,{ . ' � ,,: r+ .. ..�. .. ._ [(, ... less l -use r u tu
i ral
. , CO to g round , or exceeds la 000 ❑ Ca a 'c
O] I - and 2- fancily dwelling ® Commercial/industrial ❑ Accessory building amps for all other installations. buildings.
Master builder Otr: ❑ Fire pump. ❑ installation of 75 KVA or
Ell multi -family El 0 he
0 Emergency system larger separately derived system
B, - . ._, ... A,., , %t _ _ y . 1. 0 •,...- ,i : ?i : . ;l ,c ` , 1 :?' ❑ Addition of new motor load or ❑ larger
E ratel deri
r 100HP or more. occupancy.
Job no.: 71560 lob site address: 16600 SW 72 " AVE ❑ six or more residential units. ❑ Recreational vehicle parks.
City /State/ZIP: TIGARD, OR 01-team-care facilities. ❑ Supply voltage for more than
_ 10 ['Hazardous locations. 600 volts nominal,
th
KWELL COLLINS ❑Service or feeder 600 amps or mom.
Suite/bldg. /apt. no.: BLDG - 10 Pro J ect name: ROCKWELL
;; ;tI*1 = ~ , ' > f.SEILEOUI ;;, ,,(. :.
:ra , :'� :, 'tai,,,: :
Cross street/directions to job site: nr..e.tptron - 1 Q. 1 Fee. " 1 Total I •
New residential single- or multi- family dwelling unit.
Include ; attached garage.
Subdivision: J Lot no_: 1.000 sg- ft. or less 145.15 _ 4
- Ea_ add'I 500 sq. ft. or portion 33.40 I
Tax map /parcel no.: Limited energy, residential 75.00 2
r „ , .r - n ,� :,, .T� •.,t :'q ;. 7 ".�i :f :' `rj f. ' `A ar k y .. . '?,,!' (with above 5 fr.)
,1$ t+ a IM . 1, , Iy* r F� �': C 1ZIPt1 • 9, ; O ?w()lGi�. = :. ` 7): Q.
�'ii1�i�' =.T51 r•;.. F,;j` ; :, - � �, : .�j , '� S Iv. ,.. � :,1 ... . 't't . :(i.: ...
Limited energy. multi - family
75.00 2
ADD (2) OUTLETS FOR UPS resident-jai (with about sq. ft.) ,
Services or feeders installaliOnioltcration. and/or relocation
200 amps or less 80.30 2
I . 1 c , r ;; l..g:7: k' (r :r �
; : !., ;E, ,,.: f ..., . , lt• 10 6.85
��,+iid .1� :�QFPi}tOvEitTY"'OW?vEIt :�,r �3�' *��.r it_ :(ry';.` : }is =?rl � ., ',TF.IVAN'C • ,•;�,.,..,.., ��ti 201 amp 10400 amps 2
Name: ROCKWELL COLLLNS 401 amps to 600 amps 160.60 2
- 601 amps to 1,000 amps 240.60 2
Address: Over 1,000 amps or volts _ 454.65 2
Temporary services or feeders installation, alteration, and/or
City /State/ZIP:
Phone: ( ) 1 Fax ( ) 200 amps or less - 66.85 1
Owner installation: This installation is being made on property that 1 own which is not 201 amps to 400 amps 100.30 2
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps 133.75 2
Branch circuits - new. alteration, or extension, per panel
Owner signature: _ Date: A. Fee for branch circuits with
r "tr=il•-,= j , a bove service or f eeder fee, "? r.; 'n .: tYig ® " : Al'P1iXC91VT . a
i ti �11.r. :.151)F7� %c' 1't . f
GONTAC� :1RSON'r')(, irN_ f 6.65 2
each branch circuit
Business name: B. Fee for branch Circuits
- - without service or feeder fee, 1 a6 85 46.
Contact name: LEE MILLER, Oregon Electric Group first branch circuit
Each add'I branch circuit 1 6.65 6.65 2
Address: - -
Miscellaneous (service or feeder not included)
City/State/ZIP: Each manufactured or modular 90.90 2
dwelling, service and/or feeder
Phone: ( ) I Fax: = ( ) - Reconnect only 66.85 2
E -mail: - Pump or irrigation circle 53.40 2
irJ ti , '` c :*+ r Ca' . 4, ::.: i +. .!-• i w`') ' 7 , : .... .. t,,' ` Sign of outline lighting 53.40 2
Signal circuit(s) or limited -
Business name: OREGON ELECTRIC CONSTRUCTION, INC
energy panel, alteration, or
Address: 1010 SE 11 AVE extension. Describe: Page 2 2
Ciry/State/Z(P: PORTLAND, OR 97214 Each additional inspection over allowable in any of the above
Pcr inspection 62.50
Phone: (503) 234 -9900 I Fax: (803) 334.1001 In v,.n0:at ion per hour (1 lv min) 6 l
CCB Lic.: 203 Electrical Lic.: 26 -95C Suprv. Lic.: 4549S Industrial plant per hour 73.75 i
♦ • - + .. . • • ELECTRICAL P'ERM1T FEES _: . -71-) Suprv. Electrician signature, requi S- Subtotal: ., 5z'SO , •J
Print name: RICHARD T. MCELLIOTT Date: 8/28/08 Plan review (25c, "o of permit fen):
Stag wrcharge (12% of permit fee): „for81I 6, . i 9-
Authorised signature: c , _ TOTAL PERM FEE: 5.8!8Q 51 .
`� This permit iapplica lee expires if a permit is nut obtained within 1S0
Print name: RICHARD T. MCELLIO'I"f Date: 03/28/08 days after it has been accepted :15 cnuapi tc.
Nursbcr of inspections a1lowCC per permit.
1 :∎Huiluing1Pcn, AF.Lt:- F.amaApp.aoc 0523!06 440•.615T(IIN5KOMIWEB
CITY OF TIGARD
BUILDING DIVISION PERMIT #: t=Lf 08- 0t1495
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/281200t:
Phone: (503) 639 -4171 . 'h
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: . 10/17/2a08 TIME: 7 :02AM PAGE: 28
SITE ADDRESS: 16600 SW 72ND AVE 810 CLASS OF WORK:
SUBDIVISION: C)I2frt7c7N BUSINESS PARK I LOT #: 009
TYPE OF USE:
PROJECT NAME: ROCKWELL. COLLINS
=t
DESCRIPTION: Add (2) outlets. Job No. 71560
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: ORI:GON ELECTRIC CROUP Vor( PHONE #: 503.234.9900
Inspection Request Scheduled For: Date 10/17/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
193 final 0768146 - 01 503.572 2340 N
.c-
Corrections/Comments/Instructions:
ULA /
V
PASS n PARTIAL APPROVAL n CANCEL n NO ACCESS
n FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: l7" Nv 66 Date: 10111 oi Phone #: (503) 718 - pp*